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Efficacy of Quichua healers as psychiatric diagnosticians

  • Mario Incayawar (a1)

Summary

Traditional healers' practices are widespread around the world, yet their diagnostic skills have rarely been investigated. This exploratory study examines whether yachactaitas (Quichua healers) in the Andes identify cases of psychiatric illness in their communities. For over 18 months, ten yachactaitas participated in the identification of 50 individuals with the condition known as llaqui. Medical and psychiatric evaluation indicated that most of those so diagnosed had a DSM–III–R mental disorder. None of the participants with llaqui was considered healthy in biomedical or psychiatric terms. It is suggested that yachactaitas might indeed identify general psychiatric cases in their communities, and that this might be useful for screening purposes.

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Copyright

Corresponding author

Dr Mario Incayawar, Director, Runajambi Institute for the Study of Quichua Culture and Health, Otavalo, Ecuador. E-mail: inca@runajambi.org

Footnotes

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Declaration of interest

None.

Funding detailed in Acknowledgements.

Footnotes

References

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1 Bogoras, W. The Chukchee. American Museum of Natural History, 1907.
2 Kleinman, A. Patients and Healers in the Context of Culture: An Exploration of the Borderland Between Anthropology, Medicine, and Psychiatry. University of California Press, 1980.
3 Manson, SM. Physicians and American Indian healers: issues and constraints in collaborative health care. In The Healing Arts (ed Beiser, M). Harvard University Press, in press.
4 Hewson, MG. Traditional healers in southern Africa. Ann Intern Med 1998; 128: 1029–34.
5 Bastien, JW. Healers of the Andes: Kallawaya Herbalists and Their Medicinal Plants. University of Utah Press, 1987.
6 Maddox, JL. The Medicine Man: A Sociological Study of the Character and Evolution of Shamanism. Macmillan, 1923.
7 Jilek, WG. Indian Healing: Shamanic Ceremonialism in the Pacific Northwest Today. Hancock House, 1982.
8 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). APA, 1987.
9 Zung, WWK. A self-rating depression scale. Arch Gen Psychiatry 1965; 12: 6370.
10 Beiser, M, Ravel, JL, Collomb, C, Egelhoff, C. Assessing psychiatric disorder among the Serer of Senegal. J Nerv Ment Dis 1972; 154: 141–51.
11 Westermeyer, J, Zimmerman, R. Lao folk diagnoses for mental disorder: comparison with psychiatric diagnosis and assessment with psychiatric rating scales. Med Anthropol 1981; 5: 425–43.
12 Jones, R. Diagnosis in traditional Maori healing: a contemporary urban clinic. Pac Health Dialog 2000; 7: 1724.
13 Mackin, P, Targum, SD, Kalali, A, Rom, D, Young, AH. Culture and assessment of manic symptoms. Br J Psychiatry 2006; 189: 379–80.
14 Incayawar, M. Indigenous peoples of South America – inequalities in mental health care. In Culture and Mental Health: A Comprehensive Textbook (eds Bhui, K & Bhugra, D): 185–90. Hodder Arnold, 2007.

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Efficacy of Quichua healers as psychiatric diagnosticians

  • Mario Incayawar (a1)

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